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Individual

BRIAN J DEGUZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10104 E CLINTON ST, SCOTTSDALE, AZ 85260-6339
(917) 703-0212
Mailing address
10104 E CLINTON ST, SCOTTSDALE, AZ 85260-6339
(917) 703-0212

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
35855
AZ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35855
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119216
AZ
Enumeration date
07/27/2006
Last updated
12/27/2024
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